Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | F6414 | TX |
NPI | 1013994862 |
---|---|
Provider Name | William Alan Barbour |
First Address | Austin, TX 78758-2483 |
Second Address | Austin, TX 78758-2483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 26/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
122899102 | (05) | TX |
C13146 | (02) | TX |